Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12727 | Date 05/03/2025 |
| Token No | SM/24-25/21192 05/03/2025 | Serial | 010 |
| Patient Name | Mr. SHIBAY PASWAN | Contact No | 9123884356 |
| Address | PACHU BAZAR | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||